Active NPI
Lucien Stephen Tancil, R.PH., MS.
- Pharmacist
- Conyers, GA
National Provider Identifier
1053306852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH020109
- Practice address
- 2051 Eagle Ridge Dr SW
Conyers, GA 30094-3379 - Phone
- (770) 853-1527
- NPI assigned
- Sep 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH020109 | GA | Primary |
Addresses
Primary practice location
2051 Eagle Ridge Dr SW
Conyers, GA 30094-3379
Mailing address
2051 Eagle Ridge Dr SW
Conyers, GA 30094-3379
Phone (770) 853-1527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH020109 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053306852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 EAGLE RIDGE DR SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300943379",
"telephone_number": "770-853-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 EAGLE RIDGE DR SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300943379",
"telephone_number": "770-853-1527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANCIL",
"first_name": "LUCIEN",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "R.PH., MS.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.